P Praxis·MD
● Active Type 2 · Organization

Clearwater Healthcare Llc

Skilled Nursing Facility·Orofino, ID· NPI 1386681781 · Enumerated 2006 · 19 years on NPI
Clearwater Healthcare Llc is 1 of 173 skilled nursing facility organizations in Idaho.
NPI age
19 years
Enumerated 2006-06-02
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shull
Manager
Last NPPES update
2016-09-08
Source: monthly bulk 2026-05

How this organization compares

Across 173 active skilled nursing facility providers in Idaho.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1204 Shriver Rd
Orofino, ID 835449033
📞 2084764568fax 2084763614
Mailing address
1204 Shriver Rd
Orofino, ID 835449033
📞 2084764568fax 2084763614

Authorized official

Kenneth Shull
Manager
📞 2084764568

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Skilled Nursing Facility Primary
    (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
    ID license #36 taxonomy 314000000X

Identifiers

TypeValueNotes
05 (ID) 1386681781

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Clearwater Health and Rehabilitation
    Type code 3 recorded 2006-06-02

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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